JOLETTA KEMP HENDERSON
NPI 1154610152
Contractor - Home Modifications in Memphis, TN

Active since March 31, 2011
6393 GREEN GROVE DR, MEMPHIS, TN 38141(901) 282-7738 Get Directions Write a Review

NPPES record last updated: August 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Joletta Kemp Henderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOLETTA KEMP HENDERSON (NPI 1154610152) is an individual home modifications provider in Memphis, Tennessee, licensed in Tennessee (64592) and active in the NPI registry since March 2011.

NPPES Registry Identity

NPI1154610152
Entity TypeIndividualFemale
Primary Taxonomy171WH0202X
Provider Legal NameJOLETTA KEMP HENDERSON
Location Address6393 GREEN GROVE DRMemphis, TN 38141-7158
Mailing Address6393 Green Grove DrMemphis, TN 38141-7158 · (901) 282-7738
Sole ProprietorYes
Enumeration DateMarch 31, 2011
Last NPPES UpdateAugust 17, 2021
NPPES CertifiedAugust 17, 2021
NPI 1154610152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyContractor · Home ModificationsOther Service Providers
Taxonomy Code171WH0202X
License Licensed in TN · 64592
Definition
A contractor who makes modifications to homes to accommodate a health condition.
Also ListedContractorTaxonomy 171W00000X · License 64592 (TN)
Also ListedPhysical Therapy AssistantTaxonomy 225200000X · License PTA4329 (MS), PTA 1579 (AR)
6393 GREEN GROVE DR, Memphis, TN 38141

Other Identifiers 1

MedicaidQ057969TN

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
6393 GREEN GROVE DR
MEMPHIS, TN 38141

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joletta Henderson's NPI number?

The NPI number for Joletta Henderson is 1154610152. It was assigned to this individual provider in the NPPES registry on March 31, 2011.

Where is Joletta Henderson located?

Joletta Henderson practices at 6393 Green Grove Dr, Memphis, TN 38141. The listed phone number is (901) 282-7738.

What is Joletta Henderson's specialty?

The primary specialty registered for this NPI is Contractor, specializing in Home Modifications, with taxonomy code 171WH0202X.

When was this NPI record last updated?

The NPPES record for Joletta Henderson was last updated on August 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.